Understanding Psychopharmacology for ADHD
Adults and children respond to medications differently. Some potential safety concerns are required when prescribing psychotropic medications for children and adolescents. You were to evaluate a 14-year-old Caucasian female diagnosed with Attention Deficit Hyperactive Disorder (ADHD). The mother asked you to prescribe a medication that worked well for a neighbor’s child who was also diagnosed with ADHD but seeing a different provider. You know as PMHNP that the drug she is requesting is off-label medication for ADHD.
In a 2-3 page paper,
• Describe how you would proceed with the mother's request
• Explain the circumstances, in which you would prescribe an off-label drug to a pediatric patient.
• Describe any legal or ethical issues involved with prescribing off-label medication to the pediatric population.
• Provide the description and names of at least three off-label psychiatric drugs that require extra care and attention when used in pediatrics.
• Discuss patient teaching for the family.
• Provide evidence-based references to support your rationale.
Psychopharmacology for ADHD
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Psychopharmacology for ADHD
Psychotropic medications include mood stabilizers, stimulants, antidepressants, antipsychotics, and anti-anxiety medicines. In the scenario at hand, the mother of a 14-year-old Caucasian female diagnosed with Attention Deficit Hyperactive Disorder (ADHD) has asked for an off-label medication that worked well for a neighbor's child with ADHD but seeing a different healthcare provider. In particular, off-label medicines are used in ways not specified by the Food and Drug Administration (FDA). The FDA-approved medications have labels that provide detailed instructions on how the drugs are supposed to be used or their dosages. Notably, when a psychiatric-mental health nurse practitioner (PMHNP) gives off-label medications, the specialist prescribes the drugs without the FDA approval.
Although the mother of the 14-year-old Caucasian female is concerned about the neighbor's child who has ADHD, as a PMHNP, I would not prescribe any off-label medications. First, the child is treated by another healthcare provider, which means that he or she might be under other medications. Second, the child's ADHD diagnosis was done in another hospital and not from where I am working. On that note, the only way I can prescribe off-label medications to treat ADHD for the neighbor's child is if his or her parent brought the teenager into my facility (Brauner et al., 2016). Besides, off-label medicines do not have generalized dosages for children, but the prescription depends on the doctor's analysis of the patient's condition.
I can prescribe off-label medications to pediatric patients under various circumstances. Many of the psychotropic drugs commonly used for treating mental health disorders for pediatric patients are unapproved by the FDA (Allen ...
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